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RARE AND INHERITED DISEASE REFERRAL FORM Patient DetailsSampleNHS Number:Hospital Number:Family Number:Sample type:Surname:Forename(s):Date of Birth:Taken by (sign):Sex:Ethnicity:Private Patient:Taken
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How to fill out rare and inherited disease

01
Consult with a healthcare professional to determine if the disease is rare or inherited.
02
Gather information on any family history of the disease.
03
Understand the symptoms and progression of the disease.
04
Consult with genetic counselors for possible genetic testing.
05
Ensure proper documentation of medical records and genetic testing results.
06
Follow any recommended treatment plans and specialists for managing the disease.

Who needs rare and inherited disease?

01
Individuals who have been diagnosed with a rare or inherited disease.
02
Family members of individuals with rare or inherited diseases who may be at risk of developing the same condition.
03
Healthcare professionals who are treating patients with rare or inherited diseases.
04
Researchers and scientists studying rare and inherited diseases to develop better treatments and cures.
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Rare and inherited diseases are genetic disorders that are passed down from one generation to another and affect a small percentage of the population.
Healthcare providers, genetic counselors, and researchers are typically required to report cases of rare and inherited diseases.
Rare and inherited diseases are typically reported through specialized databases or registries that collect information on these conditions.
The purpose of reporting rare and inherited diseases is to track the prevalence of these conditions, facilitate research, and improve patient care.
Information such as the patient's medical history, symptoms, genetic test results, and family history of the disease must be reported.
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